Psychedelics, Dissociatives, and Deliriants : Different Drugs, Different Dosages, Different Actions
James KentChapter 12: Psychedelic Information Theory It may seem
rudimentary at this stage of our discussion to point out that different
hallucinogenic drugs do indeed produce different neurochemical interactions
within our brains, but this is a fact that is either missed or too often
overlooked when talking about psychedelics in general. Some people consider
psychedelics to be only the classic tryptamines and phenethylamines, other
people would broaden the category to include dissociatives like ketamine and
dextromethorphan (DXM); delirients like atropine and scopalamine found in
Daturas and belladonnas; muscimol, the active compound of the fly agaric
toadstool; the structurally unique active compounds of the Salvia divinorum
mint; the "hypnotics" and MAO-inhibiting betacarbolines of the yage vine
and peganum harmala seeds; alcohol, tobacco and THC; kava, khat, gotu,
beetle nut, and hundreds of other random plants, fungi, frog extracts,
industrial solvents, trade narcotics, designer pharmaceuticals, etc., etc. Each
one of these drugs may be "psychedelic" in the sense that they move the mind to
some elevated state which lends itself to novel thought, action, or emotive
states, but each one of these drugs even the narrow band of classic
psychedelics elicit widely different effects on the brain. And since this
text is an extended digression on the fluctuations of signal flow through the
mammalian neocortex, it will be useful to understand just how these different
drugs are classified and what their direct methods of action are.
5-HT2A agonists: The Classic Psychedelics
We have already
gone into a fair amount of detail on the classic psychedelics so we won't go
over all that ground again. However, it should be noted that the
phenethylamines and tryptamine psychedelics are classified more or less by
their structural similarity to our endogenous amines like seratonin and
dopamine. The suspected method of interaction is dynamic interruption in both serotonergic
and dopaminergic systems via direct action at various receptor sites, most
noticeably the 5-HT2A receptor sub-type in the cerebral cortex. At low to
moderate doses they elicit an amphetamine like rush of energy coupled with a
state of heightened sensory awareness. At high doses they produce profound
hallucinations and can be somatically overwhelming. Although this category of
drugs is the primary focus of this text, it is by no means the only drugs used
to produce classically "psychedelic" effects, such as hallucinations, boundary
dissolution, mystical experience, etc.
Empathogens and Entactogens: The Lesser Psychedelics
I mention this category in passing because it is helpful
to know the effects of the class of drugs sometimes known as entactogens
or empathogens, which means they act as sensory (entacto) and
emotional (empatho) stimulators. I know some may get on my case for
placing these in a "lesser" category, but I do so because this category of drug
stimulates only some of the classic psychedelic effects (such as
boundary dissolution, amplified emotional response, and enhanced sensation),
but is missing others (such as profound or immersive hallucinations).
Empathogens are typically substituted amphetamine derivatives (such as MDMA)
which act as broad 5-HT (serotonin) releasers, or act in some way to flood the
brain with seratonin. Entactogens are also typically substituted amphetamine
derivatives that act as dopamine and/or norepinephrine releasers. I suspect
empathogenic and/or entactogenic response can be generated by any drug which
stimulates aminergic response in the brain, and any drug which temporarily
increases the brain's supply of seratonin (such MDMA), or of dopamine and
norepinephrine (such as amphetamines), will have a corresponding empathogenic
or entactogenic effect, which is to say there will be an enhancement of
emotional and sensory experience.
But these are only two aspects of the classic psychedelic
state, and I would say that a great majority of non-visual tryptamines and phenethylamines
fall into one or both of these lesser category, and even classic psychedelic
phenethylamines (like Mescaline) typically only have entactogenic or
empathogenic affects unless taken at very high doses. Many full-on psychedelics
(like LSD) and dissociatives (like DXM) can be entactogenic and/or empathogenic
at sub-psychedelic/dissociative levels, and many lesser psychedelics can become
fully psychedelic with higher dose ranges. But it should be stated clearly that
if you want a fully psychedelic effect you should stick with the classic
psychedelics; don't go overdosing on an empathogen or an entactogen trying to
make it do something it is not very good at. The side effects of this kind of
high dose-range experimentation with empathogens or entactogens typically
doesn't warrant the unwanted side effects, like sudden spikes in blood
pressure, loss of consciousness, respiratory failure, and death. So once again
knowing your substance, dose range, and desired outcome could make the
difference between a pleasant entactogenic event, a fully psychedelic event, or
a sudden death event.
NMDA Antagonists & The Classic Dissociatives
If it has taken
this long for someone like me to write a text as detailed as this on the
interactions of classic psychedelics, I can only imagine how long it will be
until the world sees a text called "Dissociative Information Theory" which
attempts to get a handle on the insatiable all-sucking bottomless pit that is
the dissociative void. In Ketamine: Dreams and Realities, Karl Jansen
does an admirable job of breaking down the effects of the dissociative
anesthetic Ketamine, and makes a good argument for the case that Ketamine's
antagonistic interaction at the NMDA receptor site artificially mimics
naturally occurring near-death-experiences (NDEs) in which the user feels as if
their spirit has been separated from the body and is floating though dark
tunnels, soaring over angelic vistas, etc. This is a somewhat romanticized
notion of the dissociative state, but close enough.
Pharmacologically
dissociatives work on the general principle of interrupting or inhibiting
the associative pathways of the brain, thus creating a state where various
parts of the brain are isolated from each other, incommunicado, or simply not
responding. The primary method of action for dissociatives is via NMDA
(N-methyl D-aspartate) receptor antagonism. Like all receptor types, there are
many subtypes of NMDA receptors, but NMDA is a primary binding site for
glutamate, the neural "Go" signal. As you might guess, chemicals which block
(or antagonize) the NMDA receptor will consequently act as inhibitors of
neural signal firing, and if you successfully inhibit neural firing
along the pathways which carry signal from one area of the brain to another, a
dissociative effect is achieved.
Since there are
many kinds of NMDA receptor subtypes there are many different kinds of
dissociatives. The anesthetic dissociatives work by blocking neural signals
from pain receptors before they can reach the somatosensory cortex in the
parietal lobe. Although this is my own speculation, I have no doubt that
hallucinogenic dissociatives work by placing the visual and spatial cortices of
the brain in a state of chemically-induced sensory isolation, and once freed
from the rendering confines of a hard 3D reality a boundless state-space
emerges. If this sounds something like dreaming you are right, it is a lot like
dreaming with more control over the level of dissociation and depth of sensory
isolation you wish to achieve (mediated by dose range, of course).
The most popular
of the classic dissociatives are Ketamine (a veterinary anesthetic) and
dextromethorphan (DXM, the active ingredient of the cough-suppressant
Robitussin) which are both structurally similar, DXM being a bit more complex.
Both Ketamine and DXM are selective NMDA antagonists sold commercially, and
both of these drugs can create powerful dissociative effects at high dose
ranges. Surprisingly enough there are competing schools of thought in the
underground community as to which of these drugs is the better
dissociative for achieving psychedelic or shamanic effects, and another school
of thought which doubts if there is any shamanic worth at all in these
gross industrial pharmaceuticals. But, as usual, I would say it all comes down
to ingestion context: what need do you have to fill? Does this drug fill it?
At low dose
ranges the dissociatives actually act as stimulants. The low-dose effect is
complex to explain, but as signal from the body is disrupted there is a corresponding
excitation in the cortex coupled with a feeling of weightlessness and pressure
being lifted from the body. Often there is a ringing, buzzing, tingling, or an
anesthetic numbness that makes the body feel stronger and impervious to stress
and pain. At moderate doses the dissociative becomes a classic CNS depressant
or intoxicant (like alcohol), complete with loss of balance and orientation,
blurring of vision, slurred or incomprehensible speech, etc. At high doses the
dissociative plunges into the familiar orbit of the
psychotic/dreaming/hallucinating mind in Hobson's AIM model. The states of
isolated consciousness that erupt under a high-dose of dissociatives can be
described as out-of-body (OBE), near-death (NDE), or very much like lucid
dreaming, with recursive dream realities, false awakenings, hypnogogia,
hypnophasia, loss of memory, etc., all part of the package. Under the fully
depressant effect of the NMDA antagonist the body is essentially asleep, but
locked in the darkened skull the mind still churns away, feedbacking through
fading signal noise, spinning infinitely recursive visions of potential
realities as it spirals into boundless oblivion...
As a personal
side note, I think there is a lot to be learned about the brain and the mind
through the dissociative state. More than any other drug (psychedelics
included), dissociatives truly shine a light on the fact that things like
"self," "identity," and "personality" are really nothing more than a group of
localized sensory-processing subroutines all running in networked parallel. When
you "knock out" one or more of the aspects of self via the dissociative state
the other pieces become self-aware task-specific sub-units of what was once a
holistic/holographic "personal mind." Thus the personal state splinters,
allowing intra-personal sub-units and in some cases transpersonal meta-units of
consciousness to erupt. This first-person deconstruction and reconstruction of
self under the influence of Ketamine was referred to as metaprogramming
by the professional consciousness explorer John Lilly, and it is very easy to
see why a drug like Ketamine would seem useful in this capacity. However, there
is metaprogramming and there is drug addiction and abuse, and with Ketamine one
lends itself to the other quite nicely. For some reason the deconstructed self
is infinitely cooler and more fun to explore than the fully constructed self,
and with Ketamine you can repeat this deconstructive-reconstructive
metaprogramming exercise over and over again all day every day until you run
out of drugs and/or money, so there are some obvious dangers here.
But as shamanic
tools go these agents are very powerful. Metaprogramming, deconstruction of
self, transpersonal insights, these are all classic psychedelic boundary dissolutions
happening at full effect in the dissociative state, coupled with a range of
moderate to totally immersive lucid-dreamlike hallucinations which can bring
the fully psychedelic response to the fore. Again, though dissociatives work in
a very different way than classic 5HT2A agonists, they can still achieve a
classically psychedelic effect at the proper dose range.
Datura, Belladonna, Tropane
Delirients, Dramamine, Benadryl, Antihistamines & The Classic
Anticholinergics
Well, okay, you wanted weird territory, here it is. Of all
the families of classic hallucinogens the anticholinergics are gateways
to the world of the Bizarro shaman, the one who likes to bend reality as far as
it can go, the one who might not come back the same way ever again. Of all the
hallucinogenic substances known to humans these are possibly the oldest, most
powerful, as most dangerous to use. Found naturally in the Solanaceae
family of white trumpeting-flower plants (such as Datura, Belladonna, Deadly
Nightshade, Brugmansia, Jimson Weed, etc.) the tropane delirients atropine
and scopalamine have been used by witches, shamen, and physicians alike
for as far as recorded history goes back. Unlike the classic psychedelics which
typically lead to perceptual distortions and lucid dream-like states, high dose
anticholinergic ingestion leads to frank or concrete
hallucination, which is the waking sensation that something or someone is right
in front of you when in reality there is nothing there at all, or of believing
that you are in one place when in fact you are somewhere completely different.
Yet with anticholinergic hallucinations there is no doubt that what the user is
seeing is not real, the acceptance of the dream-like delusion is total. The
user simply forgets all previous waking contexts and accepts the paradoxical
un-reality as reality, and for the most part retains little or no memory of it
once it has passed. This is generally called delirium, delusion, or dementia,
but experientially it is just plain strange. In a very real sense the user in
the anticholinergic trance is sleepwalking: both fully awake and functioning in
the real world while at the same time dreaming as if the brain were in deep REM
sleep. How is that possible?
Well, first it is useful to know that anticholinergics
disrupt the activity of acetylcholine at the muscarinic receptors of the
cholinergic system, hence the name anti-cholinergic (and yes, it is
called the muscarinic receptor because muscimol, the active
compound of fly agaric mushrooms, has a high affinity for this receptor type,
but as an agonist). Knowing that anticholinergics disrupt acetylcholine
activity, if we look at Hobson's AIM model to try to figure out how
anticholinergics work there might be some confusion. If acetylcholine is
supposed to mediate sleep and REM activity, how can a drug that blocks
the action of acetylcholine produce such profound dream-like effects? Once
again this is a question not of action, but of dosage.
But before we get into a full clinical examination, it
should be noted that experimenting with even extremely small amounts of tropane
alkaloids is unpleasant. Of all the drugs mentioned in this text nothing
disrupts the body's internal systems more than the tropane delirients. Motor
control and mucus production go down, respiration and heart rate goes up.
Common side effects include dry irritated throats, itchy skin, headaches,
pressure in the head, blurred vision, pupil dilation, agitation, high blood
pressure, and more. If you ever take a large dose of an anticholinergic it
becomes exceedingly obvious that acetylcholine is a very important
neurotransmitter, important for far more than just mediating sleep and
dreaming. It is the workhorse messenger of the parasympathetic nervous system,
interacting with both involuntary heart muscles and voluntary skeletal muscles
to relax muscle tone and slow heart rate; it is intricately connected to
stimulation of the glossopharyngeal, facial, and vagus nerves; it triggers
production of saliva and mucous essential for eating, swallowing, and
digestion; it is essential to long term memory formation and recall; and if
your body runs low on acetylcholine it can lead to Alzheimer's disease. And
although anticholinergics have been in wide use for at least thousands of
years, they are by no means "safe" to use at what would be considered
psychedelic doses. They are extremely dangerous to say the least.
So now that we've gotten that out of the way, let's take a
look at what happens under a heavy dose of these bad boys. Under heavy Datura
intoxication you essentially become a sleepwalker. A bloodshot-eyed, dry mouth,
stumbling, agitated, delusional zombie. When looking at Hobson's AIM model it
is hard to tell where this state actually is. It sounds like there is high
acetylcholine action because of the dreamlike intensity, but obviously the user
should be in a low cholinergic state if their acetylcholine uptake was
massively disrupted, right? Both experientially and behaviorally it seems
obvious that functions of the prefrontal cortex (contextualization of self) and
hippocampus (memory formation and recall) are totally disrupted, indicating low
aminergic modulation. But let's not forget that these areas also have high
concentrations of muscarinic receptors which are responsive to acetylcholine,
and an interruption at those sights might be enough to knock these areas into
extremely low functioning states. And while dream-like frank hallucinations
would seem to indicate high cholinergic functioning, this is not
necessarily the case. To me it seems that there can be one of a couple things
going on here...
First of all, Hobson's AIM model could be a little off the
mark on a critical axis, and high acetylcholine modulation is not actually a
requirement for dream activation. It could be that acetylcholine acts as both a
dream promoter when aminergic functioning in the prefrontal cortex and
hippocampus is low (while sleeping, resting), while conversely acting as
a dream inhibitor when aminergic functioning is high (while
waking, active). If we were to view acetylcholine as having a dualistic gating
function on memory (waking memory input) and dreaming (sleeping memory
compression) located at the hippocampus and mediated by environmental factors
such as the activity of the pre-frontal cortex, the levels of seratonin and
melatonin, rhythmic circadian stimulation from the hypothalamus, etc. then
the picture becomes a little clearer. With this model any significant
disruption of acetylcholine would disrupt the waking/memory sleeping/dreaming
dichotomy, and thus the thin chemical boundaries which normally prevent the
dreaming mind from intruding on the waking mind vanish. This model is not as
clean as the pure aminergic/cholinergic duality in Hobson's unified theory, but
as many chemical messengers have multiple functions in different contexts, this
model or some variation on it is not entirely out of the question.
The other possibility, of course, is what I would call the boomerang
effect of extreme acetylcholine interruption. Since acetylcholine is such
an important messenger it is reasonable to expect that any major disruption in
acetylcholine uptake would of course lead to an increase of endogenous
acetylcholine production. If uptake is critically blocked the body may in turn totally
freak out and begin pumping acetylcholine like mad, flooding the brain and
body with as much as it can produce. And then, once the anticholinergic agent
begins to metabolize... Wham! Acetylcholine smashes into the system like a
runaway truck and transports the user seamlessly and instantaneously into a
fully interactive waking dream-space. The acetylcholine boomerang effect was
perfected by the amateur consciousness explorer Zoe 7, and detailed in his
graphic autobiographical work entitled Into the Void. Within the pages
of Into the Void Zoe 7 found many different ways to induce this
boomerang effect on himself, including depriving himself of REM sleep for days
on end and then ingesting a massive amount of Benadryl, which contains the
antihistamine diphenhydramine, which also acts as an anticholinergic at
high doses. Zoe 7 also used various different drugs and light-and-sound
emitting brain machines (pulse generators) to amplify his technique, and this
extreme REM deprivation coupled with the extreme anticholinergic action created
what he subjectively believes to be complete dimensional shifts to parallel
universes. The immersive states Zoe 7 produced were so profound he has now
written two books about his visitations to alternate dimensions, and speaks
around the world about his experiences. I'll talk more about parallel
dimensions and alternate universes later, but what we are seeing here in this
boomerang effect is more likely a profound immersive state brought on by a
flood of acetylcholine hitting a REM deprived brain and forcing it into dream
psychosis.
One might wonder why, during an intense acetylcholine
boomerang action, isn't the memory also enhanced? Why does dreaming come to the
fore and memory diminish? In this case in may be helpful to think of the
hippocampus as a VCR for memory recording and dream playback (which may be
accurately described as a kind of memory compression). Generally if the
hippocampus is involved in dream activity it cannot simultaneously be recording
memories of the event. This is primarily because the pre-frontal cortex is
offline in the dreaming state, and cannot prime memories for delivery to the
hippocampus for storage. The exception to this rule is, of course, the lucid
dream state where the personal awareness of the PFC comes back online within
the dream, as in the last few moments of dreaming upon waking up, where
memories of dreams become more intense. In these fleeting transitional states
the hippocampus can be both producing dream activity and taking memory info
from the PFC at the same time. Thus the circuit from memory to dream and back
to memory is completed, and acetylcholine is needed for every step of this
functioning. Typically in an anticholinergic dream state there is no memory of
what is happening to you. Zoe 7 claims that his use of brain-stimulating
machines helped balance the acetylcholine boomerang effect and allowed him to
retain enough lucidity to have a clear memory of each breakthrough episode, but
I cannot personally verify that his methods actually work. Again, your mileage
may vary.
Some limited personal experimentation with Zoe 7's
techniques (modified for us normal humans, of course) have definitely led me to
some of the most profound lucid dreaming experiences I have ever had, but that
is clearly what they were. I have been in enough lucid dreams to realize when I
am in one, but these were some of the crispest and most impressively detailed
dreams I have ever been in, and by far the longest lasting (which is what made
it both cool and exasperating at the same time). I kept walking around and
knocking on things, feeling things, testing to see if everything was solid,
knowing I was in a dream and that none of it was real. I was exhausted and
wanted to wake up so I could get some sleep (get that?) and was not be able to,
and was not able to fully get my bearings at all. Recursive realities fooled me
into thinking I had retuned a couple times, when in fact I was still out of it.
It was a very uncomfortable ride, totally immersive, totally wrapped like an
onion, impossible to get out, insane at points. But I eventually passed out and
fully crashed into zonk-land, and then it was over. It was an alternate
universe all right, but one that I was happy to finally wake up from.
However, Zoe 7 must be made of stouter stuff that I am. It
is his testimony that being rigorous about the REM deprivation and staying
awake through the extreme somatic heaviness of all the antihistamines is the
only way to break through into the fully waking dimensional shifting state. I
personally cannot stand to go without REM sleep for too long, and when I start
having totally immersive lucid dreams that's when I know I have been fatigued
and depriving my body of sleep for too long. My own mild anticholinergic
experiments can be considered a mere fraction of what Zoe 7 put himself through
in the name of science, and you can say that he came back somewhat fractured
(for the better?).
So that's the tale of the Bizarro shaman, Crazy Kieri and
his gang of alternate world-walkers, god talkers, witches on broomsticks, and
those who seek the mystic vision in the hardest and most immersive forms. A
little sleep deprivation here, a pinch of anticholinergic there, wham-o presto
you are in your own little universe. Again, this is not a classical psychedelic
experience like you would get from a 5HT2A agonist, but it is without a doubt
the farthest anyone has mapped out there on the rim of human experience,
beyond psychedelic you might say. The craziest shamen are the ones who
drop datura in their ayahuasca brew, for the visions, no? Oh yes, the visions.
If you want to give your gods physical form, then yes, here it is, that is the
recipe. But beware, you will be giving your gods physical form, and will
be doing so at the risk of your own health and sanity. Triple light-speed
oblivion express to the universal dream space academy, first class, yes sir.
You'll receive your official badge and uniform once you get there. You can
trust me on that...
So Many Drugs...
While this section has focused primarily on three major classes
of hallucinogenic drugs 5HT2A agonist psychedelics, NMDA antagonist
dissociatives, and anticholinergic delirients as well as providing a little
info on the non-hallucinogenic entactogens, there are still many other
substances that produce psychedelic effects that I have left out. For example,
The Salvinorin terpenes derived from the Central American mint Salvia
divinorum, are without a doubt extremely psychedelic when vaporized and
inhaled. They produce boundary dissolution, perceptual distortions, hallucinations,
etc., but of a type unlike any of the others mentioned so far. Interestingly
enough, these substances appear to be a kappa-opioid receptor agonist, which
means they increase activity at the kappa-opioid receptor, which is distributed
widely throughout the central nervous system with high density in brainstem and
limbic regions. I would suspect that by acting as a kappa-opioid agonist in the
temporal lobe, limbic system, and brainstem the Salvinorin terpenes (and other
kappa-opioid agonists) act as both amplifiers and distortion filters
of somatic signal traveling from the lower subconscious/emotional brain to the
higher rational brain, thus producing bottom-up perceptual effects originating
in the lower brain.
The perceptual effects of Salvinorin terpenes such as a
hard tingling sensation, rotation of spatial orientation, dissociative boundary
dissolution, the emergence of geometric or cellular patterns, somatically
overwhelming immersive states all suggest typical psychedelic activity in the
cortex, but could also be caused by targeted dissociation or signal disruption
within various brainstem/limbic regions. We'll look at these kinds of
interactions in more detail throughout this text, but the fact that
kappa-opioid receptors (KORs) can mediate psychedelic or psychotomimetic
effects shows once again that psychedelic effect is not always mediated by one
particular interaction at one particular receptor subtype. In fact, the more
you look at it, the more you realize that disruption of any neural messenger
significant enough to cause excitation of and/or dissociation between various
sensory processing areas of the brain is all that is needed to cause one or
many types of classically psychedelic effect. Even alcohol, for instance, can
be used for lesser psychedelic effect: it dissolves boundaries, distorts
perception of self and others, and amplifies emotional salience of sensation.
So really, when you get right down to it, lots of things are psychedelic in
some way, even if they are not classic psychedelics.
Knowing what class each type of hallucinogen falls into, how
it works, and understanding how it produces its visionary effect is arguably the
most important task of the shaman. In modern terms, hallucinogenic
psychopharmacology is a sub-specialized field of pharmacology in general, and
anyone can pick up the basic knowledge with a few years of continuing study.
They even offer degrees for this kind of thing now, diplomas and everything,
and you can even get a job with a degree like that, though probably not
working with psychedelics directly (though there is always the outside chance).
The information offered in this text is really just the most basic overview of
the field, but only as it relates to psychedelic and hallucinogenic phenomena.
For the student seriously seeking to study shamanism, one should seek out as
much information as possibly on pharmacology, the various classes of drugs, how
they work, and what their side effects are before ever experimenting with any
extreme techniques or dose ranges. The knowledge is out there and easy to find.
You have no excuse for ignorance. You have been warned.
<< Previous | Index | Next >>
Tags : psychedelic Rating : Teen - Drugs Posted on: 2005-04-18 00:00:00
|